NSG3130 Fundamentals & Skills for Nursing
Practice II Exam 1, Galen College of Nursing,
2025/2026 – 50-Question Practice Exam with
Verified Answers
Part 1: Asepsis, Infection Control, and Safety (Q1–
Q8)
Q1. A nurse is preparing to insert an indwelling urinary catheter. To
maintain sterile technique, the nurse should:
A. Place the catheter kit on the overbed table before opening
B. Open the sterile packaging away from the body
C. Use clean gloves to insert the catheter
D. Touch the inner surface of the sterile drape after it is opened without
sterile gloves
Answer: B
Rationale: Opening sterile packaging away from the body prevents
contamination from the nurse’s clothing or body. The catheter kit should be
placed on a clean, dry surface; sterile gloves (not clean gloves) are required
for insertion; the inner surface of a sterile drape is sterile and can be touched
only with sterile gloves.
Q2. A nurse is caring for a patient with active pulmonary
tuberculosis. Which type of precautions is required?
A. Contact precautions
B. Droplet precautions
C. Airborne precautions (N95 respirator, negative pressure room)
D. Standard precautions only
Answer: C
,Rationale: Pulmonary tuberculosis requires airborne precautions: an N95 (or
higher) respirator, a negative pressure isolation room, and the patient
wearing a surgical mask when transported. Droplet precautions (B) are for
influenza, pertussis, etc. Contact precautions (A) are for multidrug-resistant
organisms (MRSA, VRE) and C. difficile.
Q3. A nurse is caring for a patient with a methicillin-resistant
Staphylococcus aureus (MRSA) wound infection. Which personal
protective equipment (PPE) should the nurse wear during a dressing
change?
A. Sterile gloves only
B. Sterile gloves and gown
C. Sterile gloves, gown, and mask with face shield (if splashing is possible)
D. Non-sterile gloves only
Answer: C
Rationale: Contact precautions for MRSA require gloves and a gown. During
a dressing change where splashing or spraying may occur, a mask and
eye/face protection are added (Standard + Contact + splash risk). Sterile
gloves are used for the sterile dressing change.
Q4. A patient is on contact precautions for C. difficile. Which hand
hygiene product is required?
A. Alcohol-based hand rub
B. Soap and water (alcohol does not kill C. diff spores)
C. Chlorhexidine wipes
D. No hand hygiene is needed after gloves are removed
Answer: B
Rationale: Alcohol-based hand rubs do not kill C. difficile spores. Soap and
water with vigorous mechanical action is required. Chlorhexidine wipes (C)
are not sporicidal. Hand hygiene is always required after glove removal.
, Q5. A nurse is preparing a sterile field for a wound dressing change.
Which action would contaminate the field?
A. Placing the sterile drape on a clean, dry surface
B. Opening the sterile package with the first flap away from the body
C. Adding a sterile item to the field by dropping it from 6 inches above
D. Reaching across the sterile field to retrieve an item
Answer: D
Rationale: Reaching across a sterile field contaminates it. The other options
are correct sterile technique. Items should be added by dropping from a
height (not touching each other) or with sterile forceps.
Q6. A nurse is caring for a patient with a central venous catheter
(CVC). Which action reduces the risk of catheter-related
bloodstream infection?
A. Changing the transparent dressing every 7 days and when soiled or loose
B. Using sterile technique for all catheter access, cap changes, and tubing
changes
C. Withdrawing blood through the CVC for routine labs to reduce
venipunctures
D. Leaving a stopcock cap off a non-valved port when not in use
Answer: B
Rationale: Strict sterile technique for all entries is essential. Dressings are
changed per protocol (usually every 7 days or sooner if soiled). Blood draws
through CVCs require sterile technique; they are not inherently safer.
Leaving ports open (D) invites infection.
Q7. A nurse is preparing to administer an intramuscular (IM)
injection. Which angle should be used for a standard IM injection?
A. 15 degrees
B. 45 degrees
C. 90 degrees
D. 120 degrees
Answer: C
Practice II Exam 1, Galen College of Nursing,
2025/2026 – 50-Question Practice Exam with
Verified Answers
Part 1: Asepsis, Infection Control, and Safety (Q1–
Q8)
Q1. A nurse is preparing to insert an indwelling urinary catheter. To
maintain sterile technique, the nurse should:
A. Place the catheter kit on the overbed table before opening
B. Open the sterile packaging away from the body
C. Use clean gloves to insert the catheter
D. Touch the inner surface of the sterile drape after it is opened without
sterile gloves
Answer: B
Rationale: Opening sterile packaging away from the body prevents
contamination from the nurse’s clothing or body. The catheter kit should be
placed on a clean, dry surface; sterile gloves (not clean gloves) are required
for insertion; the inner surface of a sterile drape is sterile and can be touched
only with sterile gloves.
Q2. A nurse is caring for a patient with active pulmonary
tuberculosis. Which type of precautions is required?
A. Contact precautions
B. Droplet precautions
C. Airborne precautions (N95 respirator, negative pressure room)
D. Standard precautions only
Answer: C
,Rationale: Pulmonary tuberculosis requires airborne precautions: an N95 (or
higher) respirator, a negative pressure isolation room, and the patient
wearing a surgical mask when transported. Droplet precautions (B) are for
influenza, pertussis, etc. Contact precautions (A) are for multidrug-resistant
organisms (MRSA, VRE) and C. difficile.
Q3. A nurse is caring for a patient with a methicillin-resistant
Staphylococcus aureus (MRSA) wound infection. Which personal
protective equipment (PPE) should the nurse wear during a dressing
change?
A. Sterile gloves only
B. Sterile gloves and gown
C. Sterile gloves, gown, and mask with face shield (if splashing is possible)
D. Non-sterile gloves only
Answer: C
Rationale: Contact precautions for MRSA require gloves and a gown. During
a dressing change where splashing or spraying may occur, a mask and
eye/face protection are added (Standard + Contact + splash risk). Sterile
gloves are used for the sterile dressing change.
Q4. A patient is on contact precautions for C. difficile. Which hand
hygiene product is required?
A. Alcohol-based hand rub
B. Soap and water (alcohol does not kill C. diff spores)
C. Chlorhexidine wipes
D. No hand hygiene is needed after gloves are removed
Answer: B
Rationale: Alcohol-based hand rubs do not kill C. difficile spores. Soap and
water with vigorous mechanical action is required. Chlorhexidine wipes (C)
are not sporicidal. Hand hygiene is always required after glove removal.
, Q5. A nurse is preparing a sterile field for a wound dressing change.
Which action would contaminate the field?
A. Placing the sterile drape on a clean, dry surface
B. Opening the sterile package with the first flap away from the body
C. Adding a sterile item to the field by dropping it from 6 inches above
D. Reaching across the sterile field to retrieve an item
Answer: D
Rationale: Reaching across a sterile field contaminates it. The other options
are correct sterile technique. Items should be added by dropping from a
height (not touching each other) or with sterile forceps.
Q6. A nurse is caring for a patient with a central venous catheter
(CVC). Which action reduces the risk of catheter-related
bloodstream infection?
A. Changing the transparent dressing every 7 days and when soiled or loose
B. Using sterile technique for all catheter access, cap changes, and tubing
changes
C. Withdrawing blood through the CVC for routine labs to reduce
venipunctures
D. Leaving a stopcock cap off a non-valved port when not in use
Answer: B
Rationale: Strict sterile technique for all entries is essential. Dressings are
changed per protocol (usually every 7 days or sooner if soiled). Blood draws
through CVCs require sterile technique; they are not inherently safer.
Leaving ports open (D) invites infection.
Q7. A nurse is preparing to administer an intramuscular (IM)
injection. Which angle should be used for a standard IM injection?
A. 15 degrees
B. 45 degrees
C. 90 degrees
D. 120 degrees
Answer: C
